STEPHEN C MASS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030868

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

MASS

Business Name

STEPHEN C MASS

Original Issue Date

04/27/1994

Effective Date

04/27/1994

Expiration Date

06/20/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006